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General NPI Number Information
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NPI Number | 1609776392
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Entity Type | Organization
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Legal Business Name | NORTHSTAR COMMUNITY HEALTH & HOUSING
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 2121 NATOMAS CROSSING DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-3848
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Country | US
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Telephone | 415-483-6048
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Fax |
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Provider Business Mailing Address
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Address Line | 140 ADMIRAL CALLAGHAN LN STE B
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City | VALLEJO
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State | CA
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Zip | 94591-4005
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Country | US
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Telephone | 415-483-6048
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL SOBERANO
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Credential | MS
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Telephone | 415-483-6048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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